NPIMap

Organization Active NPI

Back Health Plus, LLC

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1023196243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1450 Issued in WA
Legal business name
BACK HEALTH PLUS, LLC
Practice address
9030 Pacific Ave NW
Suite 101
Silverdale, WA 98383-8555
Phone
(360) 692-0515
Fax
(360) 692-0515
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Kelley, DCNPI 1801974092
Title
Manager
Phone
(360) 692-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1450 WA Primary

Addresses

Primary practice location

9030 Pacific Ave NW
Suite 101
Silverdale, WA 98383-8555

Mailing address

PO Box 4032
Silverdale, WA 98383-4032
Phone (360) 692-0515

National Provider Directory

National Provider Directory

Locations

9030 Pacific Ave NW
Ste 101
Silverdale, WA 98383
Phone (360) 692-0515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023196243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4032",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983834032",
            "telephone_number": "360-692-0515",
            "fax_number": "360-692-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 PACIFIC AVE NW",
            "address_2": "SUITE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838555",
            "telephone_number": "360-692-0515",
            "fax_number": "360-692-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK HEALTH PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-692-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.